What to Expect During Pregnancy

What to Expect - Prenatal Appointments

Your first prenatal appointment will be at 8 weeks of pregnancy. Our OB nurse practitioner will go over your prenatal schedule, and answer all of your questions. This visit also includes a comprehensive exam, lab tests and discussions on lifestyle modifications to take that will ensure the health of your baby.

After your first visit, you will be seen in our office every one to four weeks, based on your risk factors, health and gestational age. As you progress in the third trimester, regular prenatal visits are typically scheduled every one to two weeks. 

Remember to write down any questions you may have and bring them to each appointment so we can ensure you have all the information you need to feel comfortable and confident throughout your pregnancy.  

Prior to Your First visit 

Please update your profile on our online patient portal before your next appointment.

Make sure to complete the following questionnaire prior to your first prenatal visit, and come prepared with one extra copy for Charles Street OB/GYN to keep on file. 

Prenatal questionnaire

Prenatal Testing

To help ensure the health of your baby and perform development assessments throughout your pregnancy, there are a number of prenatal tests that will be recommended in each trimester. 

First Prenatal Visit (8-10 weeks)

  • History & Physical
  • PAP & Gonorrhea/Chlamydia Cultures
  • Review of pregnancy modifications, diet & exercise
  • Sign consent forms
  • Prenatal blood work (includes blood type, antibody screen, hematocrit, Syphilis, Hepatitis B, HIV, Rubella, Thyroid, urinalysis, and any other indicated tests depending on each unique patient)
  • First Trimester Sonogram (10 weeks) for dating
  • Cystic Fibrosis Screening
  • Review Genetic Testing Options for Down's Syndrome and other chromosome abnormalities

Prenatal Visit (16-20 weeks)

  • Spina bifida screening (AFP blood test)
  • Sonogram for fetal anomalies (18-20 weeks) – gender can be revealed if desired.

Prenatal Visit (28 weeks)

  • One-hour Glucose Tolerance Test (screen for Gestational Diabetes)
  • Three-hour Glucose Tolerance Test (only performed if 1 hour GTT is elevated)
  • Blood work (includes hematocrit and Syphilis)
  • Rhogam for Rh negative patients
  • Tdap vaccine if indicated

Prenatal Visit (36 weeks)

  • Group Beta Strep (GBS) culture obtained (if test is positive antibiotics are required during labor)
  • Weekly pelvic exams begin (to determine cervical dilatation and effacement)
  • Growth ultrasound

All Prenatal Visits, including those not listed above, will consist of:

  • Weight
  • Blood Pressure
  • Urine Specimen (checks for protein and glucose)
  • Fetal Heart Rate
  • Fundal Height Measurement

We will inform you as soon as possible of any abnormal test results, or those requiring repeat testing or an explanation. If you would like to know the results of any other tests, you may call us two weeks after a test was done to obtain the result by telephone.

FMLA Information

For information on FMLA and to have paperwork prepared for you and your employer, please contact our office and ask for Shannon